ECU Summer Band Camp Online Application

First Name:

Last Name:

Age:

Gender:

Male

Female

Parent's Name:

Daytime Phone Number:

please include area code

Evening Phone Number:

please include area code

E-mail Address:

Street Address:

City:

State:

Use two letter abbreviation (example: NC for North Carolina)

Zip Code:

Instrument:

Years Experience:

Year in School:

upcoming academic year (Example: 8th grade)

Band Director's Name:

Your School's Name:

Roommate Preference:

Indicate name of your desired roommate. If left blank, you will be assigned a roommate.

Choose T-Shirt Size (men's sizes):

S

M

L

XL

XXL

PAYMENT OPTIONS:

Choose an Option:

Option A: Full Payment

Option B: Partial Payment

Option C: (day camp payment)

Option A: Camp Fee $410, Private lesson ($15, optional) = Total to send now $425.00
Option B: Camp Deposit $100, Remainder camp fee $310, Private lesson ($15, optional) = Total to send now $100.00*
Option C: Day Camp Payment/non-resident fee $310.00 = Total to send now $310.00

All-District Band Chair?:

Yes

No

All NC students who won chairs in All-District Band will receive an automatic $50.00 scholarship. If you quality, choose "Yes".

What District?:

If you choose "Yes" to the previous question, indicate your district here (example: Eastern, Southeastern, Central, Northwestern, Western, South Central, etc.).

NC Honors Band Eligible?:

Yes

No

All NC students who are NC Honors Band eligible will receive an automatic $100 scholarship. Do you quality? If so, click "Yes".

What District?:

If you chose "Yes" to the previous question (Honors Band eligible), indicate your district here.